Hi Lisa,
Dr T thinks my daughter has pans but we cannot figure out trigger. However she was positive for bartonella. Neg for lymes. Previous symptoms aches in joints, headaches, rages, intrusive thoughts, stomach aches, fears, defiance, mild facial tics, milkmaid gip hands. All symptoms are gone except the intrusive thoughts come a couple times a day. She was treated with antibiotics a couple months. I thought my daughter had pans, but from talking to researcher of bartonella. It sounds like the Bart caused most of the symptoms. So like you not sure. I feel like that crazy lady too sometimes;)
From your Daughers blood work sounds like dr t found a few triggers. Doesn't band 41 mean any bacteria with flagellates?
Did you test her for co infections?
I just wish I could completely get rid of her thoughts. However, they are so much better. Also giving her inositol that has really helped her mood.
Mary